Cole County Lutheran Home Association

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031188 Issued in MO

Legal business name

COLE COUNTY LUTHERAN HOME ASSOCIATION

Doing business as

Heisinger Lutheran Home

Practice address

1002 W Main St
Jefferson City, MO 65109-6901

Phone

(573) 636-6288

Fax

(573) 636-9306

NPI assigned

Oct 3, 2006

Last updated

Aug 25, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chadwick Sneed

Title

Sr Vice President of Finance

Phone

(314) 446-2405

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heisinger Lutheran Home Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lutheran Senior Services

  dba LSS Hospice Care

  • Community Based Hospice Care Agency
  • Saint Louis, MO
  • NPI 1568592442

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1841384997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 HANLEY INDUSTRIAL CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441910",
            "telephone_number": "314-968-9313",
            "fax_number": "314-968-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W MAIN ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096901",
            "telephone_number": "573-636-6288",
            "fax_number": "573-636-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE COUNTY LUTHERAN HOME ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "CHADWICK",
        "authorized_official_title_or_position": "SR VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "314-446-2405"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106118508",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heisinger Lutheran Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heisinger Lutheran Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keri Cobb
• Benjamin Lloyd Coe, PHD, DNP, APRN, RN
• Nathan Hamadeh Cofrancisco, MD
• Virginia Cogdill, FNP
• Christopher Coker, ATC, LAT
• Cole County Lutheran Home Association (Lutheran Senior Services at Heisinger Bluffs)
• Cole County Residential Services Inc
• Cole County Residential Services, Inc
• Cole County Residential Services, Inc
• Cole County Residential Services, Inc

• Skilled Nursing Facility in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.